广西医学2017,Vol.39Issue(10):1486-1489,4.DOI:10.11675/j.issn.0253-4304.2017.10.08
尘肺病初诊患者进入尘肺病正式诊断复诊阶段的情况及其影响因素
Incidence and influencing factors of entering official diagnosis and re-examination stage in patients with informal preliminary diagnosis of pneumoconiosis
摘要
Abstract
Objective To explore the incidence and influencing factors of entering official diagnosis and re -examination stage in patients with informal preliminary diagnosis of pneumoconiosis .Methods Occupational health examination data or clinical data of cases with informal preliminary diagnosis of pneumoconiosis were collected from 6 qualified institutions for health examination and/or diagnosis of pneumoconiosis in Guangxi .The influencing factors of entering official diagnosis and re-examination stage in patients with informal preliminary diagnosis of pneumoconiosis were analyzed.Results Out of 147 unofficial cases with informal preliminary diagnosis of pneumoconiosis involved, 107 cases did not enter official diagnosis and re-examination stage,and the rate of missed diagnosis was 72.8%.The results of multivariate analysis showed that the type of patients′requiring for examination and the informing method for re-examination were influencing factors of entering official diagnosis and re-examination stage of pneumoconiosis (P<0.05).Conclusion The proportion of unofficial patients with informal preliminary diagnosis of pneumoconiosis who do not enter official diagnosis and re-examination stage is quite low .The rate of missed diagnosis can be reduced when the patients are volunteered to health examination or written notification for re -examination is adopted .关键词
尘肺病/初步诊断/确诊/漏诊Key words
Pneumoconiosis/Informal preliminary diagnosis/Definite diagnosis/Missed diagnosis分类
医药卫生引用本文复制引用
秦克江,叶绍色,王力珩..尘肺病初诊患者进入尘肺病正式诊断复诊阶段的情况及其影响因素[J].广西医学,2017,39(10):1486-1489,4.基金项目
广西医疗卫生重点科研课题(重2012044 ) (重2012044 )